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Nursing HomeMedicaid Investigative

Winning Wheels

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

701 East 3rd Street, Prophetstown, IL 6127788 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 50 Google reviews

5
4
3
2
1
Winning Wheels Nursing Home in Prophetstown, IL — Street View
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7/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (19 vs median 11.0)
  • High RN turnover (70%)

Bottom 25% in IL · Below recommended RN staffing · Above average staffing · $76,343 in fines · Abuse citation

Source: Medicare data

What this means for your family

Winning Wheels offers a robust therapy program that has helped many residents regain independence, making it a potential option for those focused on rehabilitation. However, families must be aware of recurring reports regarding slow response times to call buttons and inconsistent care quality; we strongly recommend visiting during off-hours to observe staff responsiveness firsthand.

Google Reviews

Google Reviews

50 reviews on Google
Winning Wheels presents a polarized experience for families, with some praising the dedicated staff and effective rehabilitation environment, while others report serious concerns regarding neglect and poor communication. While long-term residents and their families often commend the facility's culture, multiple negative reports highlight issues with slow response times, poor food quality, and allegations of discriminatory treatment. Families should carefully vet the facility's current staffing levels and care protocols before admission.

Quality Themes

Tap a score for details
Food2.0Staff6.0CleanN/AActivities8.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Dedicated and caring nursing staff
  • Effective rehabilitation and therapy programs
  • Encouraging environment for long-term residents
  • Well-maintained facility appearance

Concerns

  • Slow response times to call buttons (mentioned by 2 reviewers)
  • Poor quality of food/meals (mentioned by 2 reviewers)
  • Understaffing and overworked employees (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(2)'18(12)'20(6)'23(3)'25(5)'26(1)

Distribution · 53 analyzed

5
26
4
7
3
2
2
2
1
16

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the current staffing levels, what specific protocols are in place to ensure that call buttons are answered promptly for residents?
  • 2I noticed that medication management is a key focus area; could you walk me through your process for ensuring accuracy and timely administration of medications?
  • 3We understand that dining is an important part of daily life; what steps are you taking to improve the quality and variety of the meal service for residents?
  • 4How do you maintain consistent communication with families regarding changes in a resident's health status or care plan?
  • 5What specific emergency response procedures do you have in place for residents who require immediate medical attention outside of standard nursing hours?
  • 6While the facility appears well-maintained, how do you ensure that the staff-to-resident ratio remains sufficient to provide personalized attention throughout the day?

Personalized based on this facility's data


Key Review Excerpts

Thanks to the therapy gym which is Open at least six hours a day throughout the week and restorative aids

Rehab patient · 2025★★★★

Staff at WW is more than dedicated to their jobs, they are passionate for the overall living concept for the residents! Rooms are individually decorated, and residents encouraged to make them their own.

Long-term resident's family · 2018★★★★★

Its okay my uncle has been in there for 10 months whenever he pushes his button they never come

Long-term resident's family · 2024★★★☆☆
Source: 50 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.38hrs
51%
Registered nurses for medical care
Total Nursing
3.61hrs
88%
All nurses + aides combined
Staff Turnover
53%
Lower is better (< 30% = good)
RN Turnover
70%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
3/ 5
Better Than Avg

7

measures

Worse Than Avg

3

measures

Mixed Results

5

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility15.3%
Mixed vs Avgs
Here
15.3%
US
12.1%
IL
52.5%
Whiteside
45.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility3.7%
Better than Avg
Here
3.7%
US
15.3%
IL
15.9%
Whiteside
25.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility5.8%
Better than Avg
Here
5.8%
US
14.4%
IL
14.2%
Whiteside
25.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility22.7%
Mixed vs Avgs
Here
22.7%
US
15.4%
IL
21.8%
Whiteside
33.7%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
IL
91.8%
Whiteside
96.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility26.1%
Mixed vs Avgs
Here
26.1%
US
19.5%
IL
18.3%
Whiteside
26.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility80.0%
Mixed vs Avgs
Here
80.0%
US
81.8%
IL
69.0%
Whiteside
67.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

21deficiencies
3penalties
Well above state avg (12.0)
28 complaint-triggered
$76,343 in fines

Families have filed 28 complaints against this facility, triggering multiple investigations into recurring problems with accident prevention, medication management, and protection from abuse and neglect. The facility shows persistent safety issues, with accident prevention deficiencies appearing repeatedly from 2023 through 2025, alongside ongoing problems with pharmaceutical services and reporting of abuse incidents. While all violations have been formally corrected, the pattern of repeated complaints and similar deficiencies suggests underlying systemic issues that families should carefully consider.

Feb 5, 2026Complaint
2
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0925Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Jan 27, 2026Complaint
1
0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Dec 21, 2025Complaint
3
0602Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Jul 23, 2025Routine
18
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0805Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0925Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

May 27, 2025Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

May 20, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Federal Penalties

Fine

May 1, 2024

$12,258

Fine

May 30, 2023

$64,085

Payment Denial

May 30, 2023

82-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Winning Wheels

Organization Type

nonprofit

Ownership & Management

Key personnel

Demaranville, ConnieOfficer / DirectorEyrich, DaveOfficer / DirectorGibson, ArthurOfficer / DirectorGuzzardo, JohnOfficer / DirectorHicks, CristeOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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